Organization
TRI-COUNTY HOME CARE SERVICES LLC
Active
Parent organization
COMMUNITY CARE HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CARE HOLDINGS, LLC
Authorized official
MS. JENNIFER A KUCZEWSKI (DIRECTOR)
(716) 568-2236
Entity
Organization
Contact information
Practice address
6295 E MOLLOY RD, EAST SYRACUSE, NY 13057-1072
(315) 414-0130
(315) 414-0131
Mailing address
60 NORTHPOINTE PKWY, AMHERST, NY 14228-1883
(716) 568-2236
(716) 568-2243
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01913840
—
NY
Enumeration date
08/16/2006
Last updated
12/15/2014
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